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psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
December 12, 2018 - July 5, 2023
Analysis of reported suicide safety events among veterans who received treatment
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
June 03, 2020 - Resources From the Same Author(s)
Fear of Covid-19 leads other patients to decline critical treatment
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psnet.ahrq.gov/issue/leading-change-why-transformation-efforts-fail
March 03, 2021 - Patient Safety Innovations
Project BOOST Increases Patient Understanding of Treatment
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psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
September 09, 2020 - February 14, 2007
Heparin: improving treatment and reducing risk of harm.
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psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
February 03, 2021 - Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - June 24, 2020
Teamwork is associated with reduced hospital staff burnout at military treatment
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psnet.ahrq.gov/issue/sent-home-die
April 22, 2020 - July 29, 2020
Fear of Covid-19 leads other patients to decline critical treatment.
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psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
February 02, 2022 - June 16, 2019
Reducing treatment errors through point-of-care glucometer configuration
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psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
September 29, 2021 - April 6, 2022
Mothers face broken addiction treatment system.
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psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
October 14, 2020 - September 29, 2017
Modern palliative radiation treatment: do complexity and workload … April 17, 2013
Radiation Therapy Safety: The Critical Role of the Radiation Therapist
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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - 2013
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment … May 22, 2019
Beware of basal opioid infusions with PCA therapy.
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psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture
November 25, 2020 - with appropriate analgesia are also concerning signs of CS, although they may be confounded by opioid treatment … high-quality research precluded the group from making strong recommendations regarding diagnosis and treatment … Many patients are readmitted because their treatment was incomplete, because of inadequate coordination … are treated and discharged from the ED, and those who are triaged but leave before completing their treatment … Acute compartment syndrome in children: contemporary diagnosis, treatment, and outcome.
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psnet.ahrq.gov/web-mm/isolated-clot-real-error
December 01, 2013 - Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: … Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. … Duration of anticoagulant therapy for deep vein thrombosis and pulmonary embolism. … The ASH Choosing Wisely campaign: five hematologic tests and treatments to question. … Current practice patterns and patient persistence with anticoagulant treatments for cancer-associated
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - was notable for having had an aortic valve replaced with a titanium valve and chronic management at a therapeutic … the emergency department (ED), only that she was chronically anticoagulated using warfarin “with a therapeutic … patient with acute mechanical valve thrombosis, with or without arterial thromboembolism, intravenous therapeutic … Without administering such a bolus, it may take 12-24 hours to reach a therapeutic heparin level. … Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - to be at their neurological baseline. 1 This extended time window primarily applies to endovascular therapy … The therapeutic time window for acute ischemic stroke is relatively narrow, and any delays in diagnosis … The instructional program is focused on recognizing symptoms and signs and learning diagnostic and therapeutic … window for endovascular treatment. … not be delayed awaiting results of serum creatinine measurement because the benefit of endovascular therapy
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psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
December 14, 2022 - and referral to a lung specialty center is necessary to identify the cause and to consider additional treatments … Therefore, timely referral to a lung center where treatment can be initiated is important. … open-mind, and seek additional information and consultation when a patient’s course or response to therapy … Take-Home Points Given the incidence of underlying conditions requiring special treatment, spontaneous … December 14, 2022
Lessons learned in implementing a chronic opioid therapy management
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psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
March 27, 2018 - October 27, 2021
Malnutrition in the hospital: the pharmacist’s role in prevention and treatment
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psnet.ahrq.gov/issue/smart-pumps-advanced-capabilities-and-continuous-quality-improvement
December 10, 2014 - May 11, 2014
Heparin: improving treatment and reducing risk of harm.
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psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
September 10, 2014 - April 17, 2017
Review into the Quality of Care and Treatment Provided by 14 Hospital
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psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
August 24, 2016 - 2011
Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment